Individual
KELLY LYNN MONDELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26627 PICKENS RD, EUGENE, OR 97402-9282
(714) 600-1828
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10271234
OR
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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